Individual
FAWN RANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4221 4TH AVE APT C, SAN DIEGO, CA 92103-1447
(858) 735-9184
Mailing address
420 WALNUT AVE, SAN DIEGO, CA 92103-4987
(619) 501-7626
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC15598
CA
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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